Effect of Grade II and Grade III Mobilization by Maitland Technique in Low Back Pain

Aim: To find out the effect of grade II and grade III mobilization in Mechanical Low Back Pain.

Objectives: To find the effect of grade II mobilization and grade III mobilization on pain and on lumbar mobility and also to compare the effect of grade II and III mobilizations on pain and lumbar mobility.

Methodology: This is an experimental study with sample size of 30. Subjects complaining of Low back Pain between 8 weeks and 6 months are included by using Random sampling method and divided into two groups i.e. group A - Grade II Mobilization and Group B - Grade III mobilization. Subjects with Prolapse with neurological signs and symptoms requiring surgery, Pregnancy, Spondylolisthesis, Spondylolysis, Fractures, Malignancy, Osteoporosis, Previous back surgery, Known rheumatic, neurologic or mental disease are excluded. Baseline data was collected by assessing pain and function. Same therapist treated all Subjects with Four mobilizations lasting for 30 seconds each to be given for two week. Pain and lumbar mobility was assessed at 0 week, first week and second week.

Data Analysis: Data was analysed using paired and unpaired t - test.

Results: There was a statistically significant reduction in pain and improvement in lumbar mobility after application of grade II and III mobilization techniques at p=0.001.

Conclusion: Result suggests that grade II and III maitland mobilization is effective in improving lumbar mobility and VAS scores in patients with mechanical low back pain but grade III is proved to be better than grade II mobilization technique.